Laparoscopic-assisted Colorectal Resection in Malignant Polyps and Benign Disease.
- Author:
Jung Gu KANG
1
;
Nam Kyu KIM
;
Seong Hyeon YUN
;
Jea Kun PARK
;
Seung Kook SOHN
;
Jin Sik MIN
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Korea. namkyu@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Laparoscopic surgery;
Colorectal disease;
Polyp
- MeSH:
Colectomy;
Colon;
Colorectal Neoplasms;
Humans;
Ileus;
Laparoscopy;
Lymph Nodes;
Mortality;
Neoplasm Metastasis;
Polyps*;
Retrospective Studies;
Subcutaneous Emphysema
- From:Journal of the Korean Society of Coloproctology
2001;17(2):84-90
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Laparoscopic colorectal procedures are widely used for benign disease but controversial for malignant disease. In early colorectal cancer, laparoscopic colectomy can be performed safely on the basis of oncologic principles. The purpose of this study is to evaluate the safety and effectiveness of laparoscopic-assisted colorectal resection for malignant polyps and benign disease. METHODS: Twenty five patients submitted to surgical treatment between Oct. 1996 to June 2000 were reviewed retrospectively. RESULTS: Malignant polyps comprized 7 cases whose resection margins were all positive for cancer cells after endoscopic polypectomy and benign diseases in 18 cases (benign polyp: 7, diverticular disease: 4, submucosal tumor: 4 etc.). The common sugical procedures were anterior or low anterior resection (7 cases) and segmental resection (6 cases). There was no conversion to an open surgery. In malignant polyps, pathologic results revealed early cancer with no lymph node metastasis. There was no operative mortality. Postoperative recovery was uneventful except 2 cases (9.0%) of complications, which were, prolonged ileus in one patient and subcutaneous emphysema in another patient. CONCLUSIONS: Laparoscopic-assisted resection can be recommended as a safe and effective procedure for treatment of colonic malignant polyps and benign disease.
